MEDICARE: MAURICE DARDEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1083540280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAURICE DARDEN

Provider Business Mailing Address
First Line	:	6603 CHURCH ST
Second Line	:
City	:	RIVERDALE
State	:	GA
Zip	:	30274-4714
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 DUNWOODY PARK STE 101
Second Line	:
City	:	DUNWOODY
State	:	GA
Zip	:	30338-7404
Country	:	US
Telephone Number	:	313-930-7028
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2026
Last Update Date	:	06/23/2026

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Directions to “ MAURICE DARDEN ” Practice Location

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